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General NPI Number Information
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NPI Number | 1962695643
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Entity Type | Organization
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Legal Business Name | CAPITAL MENTAL HEALTH ASSOCIATES LLC
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 02/06/2012
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Provider Practice Location Address
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Address Line | 431 DUAL HWY
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City | HAGERSTOWN
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State | MD
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Zip | 21740-5713
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Country | US
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Telephone | 240-297-3449
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Fax |
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Provider Business Mailing Address
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Address Line | 14035 EDGEMONT RD
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City | SMITHSBURG
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State | MD
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Zip | 21783-1234
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KATHRYN HIGH
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Credential |
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Telephone | 240-297-3449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0024785
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License Number State | MD
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